| NPI | 1285816827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432507) |
| 208M00000X Hospitalist (Licence: PA MD432507) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2021-01-05 |